Mar 16 11 12:32p 

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p . 1 

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FAA Dbcket No': CP lOAlSJ^i^ 

SERVICE LIST 

/ ^ 

ORIGINAL & ONE COPY 

Federal Aviation Administration 

. 800 Independence Avenue, S.W. 

Washington, DC 20591 

Attention: Hearing Docket Clerk, AGC-430 

Wilbur Wright Building—Suite 2W1000' 

ONE COPY 

Lisa Gamache-Wortman, Respondent 

P.O.Box 12793 

Olympia, WA 98508-2793 

Scott R. Morris, Complainant's Counsel 

Attorney, Office of the Regional Counsel 

Northwest Mountain Region, ANM-7 

Federal Aviation Administration 

1601 Lind Avenue, S.W. 

Renton, WA 98057 

TEL: 425-227-1417 

FAXL_425-227-1007 

fb p 3--:8 

CO 

•cr 

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O' 

CO 

O O 

The Honorable Richard C. Goodwin, Administrative Law Judge 

Office of Hearings, M-20 

U.S. Department of Transportation 

1200 New Jersey Avenue, S.E. 

East Building Ground Floor, Room El 2-320 

Washington, DC 20590 

TEL: 202-366-2139 Attorney-Advisor 

^—-^202-366-5121 Legal Assistant 

(FAX y 202-366-753 6 

' Service was by U.S. Mail. For service in person or by expedited courier, use the following address: 

Federal Aviation Administration, 600 Independence Avenue, S.W., Wilbur Wright Building—Suite 

2WI00O, Washington, DC 20591; Attention: Hearing Docket Clerk, AGC-430. 
Mar IG 11 12:32p 

p . 2 

027 ANC 7132 6603 027-7132 6603 

Shipper's Nani« »nd Address 

LISA GAMACHE 

BOX 570 

SEWARD, AK 999999 

USA 

Shipper's Accounl Number 

Cmtomer's (0 Nurnbar 

-0012591318 

Tel: 360-628-9399 

Not Neqoii.ible 

Air WayfaHI 

Issue J By 

ALASK A AlHLINt S & H 0 R I Z 0 M A I R ^ ^ 

P.O . BO X 6B40 0 SEATTLE . WTA 9B16 8 

a00-Z2S-17S 2 AIASKACARG0.COM ' 

Consignee's Name and Addn»9s 

LISA GAMACHE • 

HFPU 

SEATTLE, WA 99999 

USA 

Cwiwooea't Account Number Also (toiify 

Tel: 360-628-9399 Tel: 

(swing Canier'a Agenl and City 

Asent'a lATA Code Aixoui l No. 

Airport o< Oeparture (Addr. of Flrsl Caniar) erid Rniueeisd Rouling 

Anchorage 

Acccjrtir g tnrorrrtaljon 

USA GAMACHE 

BOX 570 

SEWARD, AK 999999 

USA 

Gr^neral Cargo 

-0012591318 

OttwH- }9ciarsd Vaius Por Carriage 

X i I NVD 

To By Fifit Carrtnr 

SEA Alaska Airlines 

To/By I To / By Currnncyi 

USD =P 

Oacfartd Valua For Custom* 

NCV 

Airport or DestiriBtian 

Seattle 

FighVDaie nighvData Arrouni nl Insurance 

XXX 

Handling Information 

UNKNOWN SHIPPER-ALL CARGO AIRCRAFT ONLY 

No of 

PiecAS 

Grota 

VVeight 

Commodily 

Hem No. 

ClwrBaabte 

Weight 

Rale / 

CiiDige Totai 

Nature and QuarlMy of Goods 

(Inct. Olmen$lon»0rVo)UTT>e> 

) 395.0 395.0 0.63 248.65 HOUSE HOLD GOODS 

14 395.0 248.85 

Dims: 34 x 40 x48 x 1 

1 X 1 x1 X 13 

GEN UNK 

Volume: 37.785 

Prapald Weight Charge 

248.85 1 

Colleci 

Valuation Charge 

Tax 

1.96 

Other Chaiget 

MYC 23.70 

sec 7.90 

Total Other Chai^ea Due Agent 

Total Other Clwrgea Due Cturiar 

31.60 

Shipper oartiliee that the janicuiart on llw (see haraof are cnraet end that Inactar a* any part of the conalgwniiti 

contalne dangafoua goode. euci) part le properly deecrtlwd liy rtama and la in pivpar condltiiHi lor eanUde 

by air according to the applicable Dangeroue Ooodi Regulation*. I coneent to the Inepecdon of thia cargo. 

F o r LIS A GAMACH E SlonalureofSWeoerorNaAoant 

J^|[n^,^w*X L 

EK IS SHIPMENT POES NOT CONTAIN 

l/VNGEROUS <iOODS a; HIS SHIPMENT QQgS CONT/kIN 

lANGEROUS GOODS 

Total Prepaid 

282.41 

Total Codact 

14 May 2009 18:51 Ap.'^^?,'?.??. A'?sJS?.A|n!"es 

' ECTCuJed'dn'ibaie) al'iPlace) " 3ifliiaiur» oflaauinfl Cairler'orlu AJint ' 

027-7132 6603 

\ 
Mar IG 11 12:33 p 

p . 3 

ALA**^* AIRLINES & HORIZON At 

P.O. BOX 6890 0 SEATTLE . WA 9816 8 

800-225-275 2 ALASKACARG0.CO M 

SHIPPER 

LISA GAMACHE 

BOX 570 

SEWARD, AK 999999 

CONSIGNEE 

LISA GAMACHE 

HFPU 

SEATTLE, WA 99999 

AWB Number Pieces Weight Origin / Dest Nature of Goods Arriving Flight Details Customs 

027-71326603 16 388.0 Lb ANC-SEA' HOUSE HOLD GO AS 7082 16-May-2009 

Storage Locations: AWB3 

LOCAL CHARGES : 

16 

Bonded Warehouse n 

Total Local Charges: 

VAT 0.70%: 

Grand Total: 

USD 

USD 

USD 

0.00 

0,00 

0.00 

PO Number 

RECEIPTSTATEMEN T 

The undersigned acknowledge the receipt of above mentioned consignment complete and in good 

'- condition. 

Date: J9-May:2p09_ 

Time: .1?JP.1 , Registration: 

Driver: .UsaGamache Signature: ^:t._^.^yv X GJ^v^vv^JX-fl-
M a r 16 11 12:33 p 

027 ANC 7132 6603 

p . 4 

027-7132 6603 

Shppe/s Name and Addres» 

USAGAMACHE 

rljl^7 0 

•• SEWARD, AK 999999 

USA 

Shippa/'s Accouni Number 

Cuslomar'B ID Number 

-0012591318 

Tel; 360-628-9399 

Ncl rjogcllatxie 

Air Waybill 

lsv.i(!-l By 

P.O . BOX 611900 SEATTLE . WA 9816 8 

800-2Z5-275 Z ALASKACARGO,CO M 

Corisisree's ,Name and Address 

LISA GAMACHE 

HFPU 

SEATTLE, WA 99999 

USA 

CoTslgnea's Account Number AloP n:3lily 

Tel: 360-628-9399 Tel: 

issuing Carrier's Agent and Clly 

Agenl's lATA Code 

Airport of Oapsrture (Addr. of Firat Camer) and Requested Routing 

Anchorage 

AccoLrtfrtg fnParmetlon 

LISA GAMACHE 

BOX 570 

SEWARD, AK 999999 

USA 

General Cargo 

-001259131S 

lerjartto Value For Carriaga 

NVD 

To By Flrsl Cerrier 

SEA Alaska Airlines 

ro/By To/By Cu-roDcr/ 

USD ^P 

Oectared Value For Customs 

NCV 

Airport of OestlnaUon 

Seattle 

Flight/Date 

AS 7082/16 

=UghUDate Arr.njni of Insurance 

XXX 

Hanttljng tnfbrmation 

UNKNOWN SHIPPER-ALL CARGO AIRCRAFT ONLY 

SCI 

Gfocs 

Waighl 

Commocity 

Item No. 

Chargeable 

Weight 

Rate/ 

Charge 

Naiura and Ouantfty of Goods 

(Incl. Dimensions or Voluine] 

395.0 C 395.0 AS AGREED HOUSE HOLD GOODS 

16 395.0 AS AGREED 

Dims: 34 x 40 x48 x 1 

1 X 1 x1 X 13 

GEN UNK 

Volume: 37.790 

Prapgid Walght Charga 

AS AGREED 

Valuation Charga 

Tax 

outer Charges 

MYC 23.70 

s e c 7.90 

Total Other Charges Due Agent 

Total Other Chargea Due Carrier 

Shipper certifies that the oanicjlars on Ihe face hereaf are correct and ihai Insofar »s any part of the contlgnmtnt 

contalne dangerous good*, such part U property desCflbed by name and le In proper condition for carriage 

by air according to the applicable Dangerous Goods Regulations, 1 consent to the Inspection of this cargo. 

For: USAGAMACHE Slonature of Shlooer or his Aaant 

HIS SHIPMENT DOES NOT CONTAIN 

lANGEROUS GOODS [Z3; HIS SHIPMENT B2E§ CONTAIN lANSEROaS GOOOS 

ToMI Prepaid 

AS AGREED 

14 May 2009 18:51 Anchorage 

EmaiWd On (Oalal at (Place) 

Alaska Airlines 

SlffnaiurB of Imjing t^rier or itj Aflenl 

027-7132 6603 
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